Freshly extracted sockets can represent a challenge, mainly because designing a surgical template in an area that will be modified after extraction is difficult, and a radiographic template cannot be tried in the patient’s mouth.
Immediate implant placement was performed following the extraction of teeth #45 and #46. The post-extraction sockets are clearly visible, with an SXR depth probe positioned within the socket of tooth #45, indicating a drilling depth of 13 mm.
Both the inferior alveolar nerve and the incisive nerve are distinctly identifiable. The osteotomy demonstrates proper angulation and maintains a 2 mm safety margin relative to the mental foramen.
The silhouette of a 4 × 11.5 mm implant was superimposed on the mesial osteotomy, and the distal implant position was re-evaluated by superimposing the silhouette of a 4 × 13 mm implant with a slightly more mesial entry point than the initial one.
In this way, the surgeon can virtually assess different intraoperative options using a single PAR, ensuring accurate visualization and planning even in immediate post-extraction scenarios.